Diagnosis and Treatment planning

Question 1

Goals
* To analyze the —
* To diagnose the —
* To establish a —
* To pick up —
* To use the “— “ principle
* To assess the necessary —
* To set the basis for the future —

Answer 1

present malocclusion
malocclusion
differential diagnosis
clues
inside out
changes
correction

Question 2

Make sure to address the
— of the
patient. Not necessarily to
treat it but aknowledg and
discuss options

Answer 2

chief complaint

Question 3

❖PAST MEDICAL HISTORY:

Answer 3

❖Some medical conditions have an impact on
orthodontic treatment.

Question 4

❖ MEDICATIONS:

Answer 4

❖ Some medications may interfere with bone
remodeling (Biphosphonates)

Question 5

❖ALLERGIES:

Answer 5

❖Affect breathing and neuromuscular function

Question 6

❖ORAL HYGIENE:

Answer 6

Good- Fair- Poor

Question 7

❖Determine Facial type:

Answer 7

❖ Goal is to determine the facial type ( Clue for the
complexity of malocclusion)

Question 8

❖Facial proportions:
Raito
* Contributes to
* The most important for us is the

Answer 8

55:45 (UFH:LFH)
facial harmony
lower face height.

Question 9

❖Determine Facial symmetry
(2)

Answer 9

❖Mandibular deviation
❖Unfavorable growth patterns

Question 10

❖How is the Facial profile?
(4)

Answer 10

❖Convex
❖Flat - Straight
❖Concave
Helps determine the maxilla- mandible relationship and
the position of the jaws in the antero posterior plane

Question 11

❖The Nasolabial angle is
(4)

Answer 11

❖Acute
❖Normal
❖Obtuse
Gives an indication on the position of the upper incisors

Question 12

❖Lips:
(4)

Answer 12

❖ Length
❖ Seal
❖ Strain
❖ Harmony of lip position is very important for esthetic and
functional success

Question 13

Neuromuscular and
TMJ Examination
(4)

Answer 13

❖ Tongue at rest:
❖ Swallowing pattern:
❖ Muscles of mastication:
❖ TMJ

Question 14

❖ Swallowing pattern:

Answer 14

◼ Normal or infantile swallowing

Question 15

❖ Muscles of mastication:

Answer 15

❖ Palpation of masseters and temporalis muscles

Question 16

❖ TMJ:

Answer 16

❖ Always perform a TMJ screening prior to any
orthodontic intervention. Keep inquiring
during treatment

Question 17

Extra-oral → Intra-oral
❖ Facial Midlines?
(4)

Answer 17

❖ Upper Dental Midline
❖ Lower dental midline
❖ Mandibular midline
❖ Help position teeth and jaws
in the transverse palne

Question 18

Overbite:
(3)

Answer 18

❖ Skeletal-
Dentoalveolar?
❖ Incisor extrusion?
❖ Molar lack of
eruption?

Question 19

Overjet: mm
(2)

Answer 19

❖ Skeletal- SNA-
SNB?
❖ Dental:
Proclination of
incisors?

Question 20

Teeth present:
◼ Maxilla:
◼ Mandible:
Assess the potential need for (2)
Important in adult patients presenting with

Answer 20

restorative work or space closure
missing teeth.

Question 21

Determine Arch shape:
(3)

Answer 21

◼ Upper:
◼ Lower
◼ Helps in determining if expansion
or if crowding can be alleviated by
orthodontic without extractions

Question 22

Intra-Oral Examination
❖Clinical findings:
(5)

Answer 22

• Oral hygiene
• Existing restorations
• Need for operative works before ortho.
• Periodontal condition
• General idea of the occlusion

Question 23

Amount of crowding:

Answer 23

No crowding, mild crowding, moderate crowding and
severe crowding
- Clue: Dentoalveolar expansion
- Interproximal reduction
- Extractions

Question 24

skipped
Panoramic Radiograph Analysis
Significant Findings:
(7)

Answer 24

1. TMJ screening
2. Missing teeth
3. Pathologies
4. Impacted Teeth
5. Perio screening
6. Gross decay
7. General mandibular
   shape
8. …..

Question 25

Dental Cast Analysis:
Curve of Spee
❖ Upper:
(1)

Answer 25

❖ Position of the
dentition in relation
to the occlusal plane

Question 26

Dental Cast Analysis:
Curve of Spee
❖ Lower:
Sign of a severe malposition of
the dentition in the —
plane ?

Answer 26

Curvature of the alignment of
the lower dentition.
vertical

Question 27

Dental Cast Analysis: Tooth size
Bolton analysis – ideally –%

Answer 27

77

Question 28

Are teeth too small,
too large?
Is the upper and
lower dentition
proportional to insure
good —

Answer 28

Ratio length to width
interdigitation